Doctor Q&A

It is not unusual for the breasts to heal at different rates. One breast may also feel different from the other. However, if this is pain is particularly uncomfortable or you are concerned, it would be best to speak to your surgeon about it for a more personalized opinion.

Hi there, thank you for asking as this is a great question! Sometimes, significant overhanging skin as well as a large hernia can contribute to lower back pain due to the imbalanced strain on your back. However, minimal loose skin and rectus diastasis do not typically cause back pain. Tightening the diastasis with rectus plication can help with core strength though, but your lower back pain may need to be evaluated by your PCP/physical therapist/back specialist.

You are still early on in your recovery. Please allow some more time to pass, as your surgeon recommended, before assessing your results. In the meantime, please wear your compression garment as advised and continue following your surgeon’s post-op instructions.

Multi procedure surgery is common. Often patients just want to get things done and have all of their healing finished within the same time. Choosing these procedures will likely different amongst plastic surgeons. You have mentioned four significant procedures. Performing them on a large person is much more of a strain on their body for healing compared to a smaller person who may require overall less surgery for correction. In your situation, consultation, a plastic surgeon may want to...

Hello,
Thank you for the question.
I wish you the best. In general, a "skinny" bbl would be a possibility, but a lot depends on your goals and skin laxity.
Vasileios Vasilakis, MD, FACSDouble Board Certified Plastic SurgeonHouston, TX.

Thank you for your pictures. For best and optimal results, you are a great candidate for Lipo360 with a tummy tuck with fat grafting to your buttocks/hips. It is possible that when performing lipo360, especially the full waistline, can accentuate your buttocks as well without having to have a BBL. If a tummy tuck if off the table for you, you may also benefit from Lipo360 with skin tightening with the understanding that a tummy tuck is still your best option. We would love to schedule a...

Thank you for sharing your concerns. Buttock asymmetry and sagging are prevalent and are usually caused by uneven fat distribution, skin laxity, and natural body anatomy.

Exercise can improve muscle tone, but it cannot fully correct sagging skin or significant asymmetry. Weight loss may help in some cases; however, if there is already looseness, it can sometimes make sagging more noticeable.

In these situations, a customized surgical approach gives the best results. Depending on your...

Thanks so much for your question,
Yes, in general, it is better to do a brow lift before a hair transplant or hairline-lowering procedure. A brow lift changes the position of the brows and the forehead skin, and in some techniques it can subtly affect the hairline position or tension. If you did the hair transplant first and then lifted the brow later, you could end up distorting the transplanted grafts or shifting the hairline in an unpredictable way. Doing the brow lift (and...

It is used to lift the tip and increase the projection as a stand alone procedure using septal cartilage, ear cartilage, implant or rib.
I use ear cartilage to lift and works great.

Regards
Dr. Janjua

Hello and thank you for your question. Yes that can be a normal maneuver. Make sure you are going to a surgeon with hundreds of long-term before and after pictures on their website with standardized lighting and standardized backgrounds. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

This photo does not provide enough information for good advice about facial rejuvenation, unfortunately. It is very likely that rhinoplasty would improve overall facial harmony , possibly lower eyelid surgery, periorbital fat grafting? In person consultation with an experienced board certified plastic surgeon would give you opportunity for in depth analysis and meaningful advice. Good luck.

You do have a narrow nose but actually reducing the dorsal hump will make the nose look less narrow because it is decreasing the anterior projection. You appear to be an excellent candidate for a rhinoplasty.

Best Wishes,

Gary Horndeski, M.D.

A March surgery date can absolutely be realistic, but it depends on a few key factors. If you have your consultation in December or January, and there are no medical issues, March is typically achievable depending on the surgeon’s availability, financing approval, and completion of pre-operative requirements.
As far as recovery and time off work, this varies by procedure and the physical demands of your job. For mommy makeovers that include a tummy tuck, I generally recommend 2 weeks off f...

Breasts are seldom perfectly symmetric. The symmetry can generally be improved as a part of a breast reduction.

Hello and thank you for this question. This is a topic I’m asked about during every consultation I do for both breast reduction and breast augmentation. There is an area of fat right under the armpits that plagues women of all shapes and sizes. It’s very simple to treat with liposuction during your procedure. It’s not typically covered by insurance but the cost, time and recovery are often minimal and can be done at the same time as your reduction or performed later under local anest...

Yes, it is absolutely possible in many cases to keep your current implants and still perform a breast reduction — but it must be done with the right technique and for the right reason.This situation is actually a classic indication for a Push-Up Lift–style reduction.How breasts get “too big” with implantsOver time, breasts can enlarge due to:Weight changesHormonal factorsPregnancySkin and tissue stretchIn these cases, the excess volume is usually your own breast tissue, not the impla...

Motiva tend to be more filled than the other brands. Based on the photos you provided I agree that a Demi would be a better option for you. With the natural hang of your breasts you'll want to do a dual plane augmentation. I wouldn't get too caught up in the base width as you could easily handle a 300cc if you like that volume.

Body contouring procedures have become increasingly popular and can help men and women recontour their body in adulthood. If you have stubborn areas of fatty accumulation that are more resistant to diet and exercise, you may be a candidate for body sculpting liposuction performed at Kare Plastic Surgery in Santa Monica. Liposuction remains one of the most popular procedures in cosmetic surgery and allows patients to slim and toned their waist line, back, arms, and legs using this minimally...

Thank you for your photo. I believe you should first have your eyelids checked for ptosis to be sure there isn’t an underlying abnormality with your levator muscle. If your muscle insertion and excursion is normal, it appears that an upper blephroplasty would allow you to achieve more symmetry of your upper eyelid skin and eyelid crease. A plastic surgeon should be able to help you and direct you to the best options to correct this. Best wishes.

Based on these photos it appears that a lateral canthopexy on the “lower” eye would create more symmetry. In person consultation with a board certified plastic or oculoplastic surgeon is recommended. Good luck.

A mid facelift can tighten the skin around the orbits to smooth out some of the contour irregularities. A lower blepharoplasty can be done to transpose fat to hide the tear troughs.

Best Wishes,

Gary Horndeski, M.D.

Hi there—hope all is well. Based on the photos alone, here are a few observations:
Asymmetric eyebrow position (left lower than the right)
Brow ptosis (overall low eyebrow position)
Excess upper eyelid skin, possibly more pronounced on the right than the left
Possible eyelid ptosis, particularly on the left, which should be ruled out
My recommendation would be an in-person evaluation by both an Ophthalmologist and a Plastic Surgeon for a thorough physical examination. Based on those...

Hi there, thank you for your question! I can definitely understand your concern with regards to choosing a qualified anesthetist. CRNAs as well as anesthesiologists are widely utilized in many office-based surgery suites as well as surgery center and hospital ORs. I have worked with CRNAs who regularly work in cardiac operating rooms doing open heart surgery as well as anesthesiologists just out of training. The best way to address your concern would be to speak with your surgeon to express...

Thank you for your question and photo. Based on this single frontal view photo, you would do best with a full facelift, neck lift, upper lip lift and fat transfer to the upper face. The brow and eyelids can be done later. Now you can waste your money on smaller, ineffective procedures like what you have done already, which BTW, will make a facelift more challenging. You do have an asymmetrical face with one side significantly smaller, significant perioral aging, loose ski and platysmal...

Hi TBD.  In most cases, the key issue in determining whether to suggest dermal fillers or surgery is volume loss vs. skin laxity.  If the skin is loose and drooping, then surgery is often the best option.  If the skin is taught and firm, but the patient is thin or has volume loss, then we suggest dermal fillers.  In your case it appears that you have not lost much elasticity in the skin but do have a depression in what's called the malar area.  We commonly use Radiesse and Restylane Lyft...

Thank you for your question. I would consider the face and the neck as one aesthetic unit. The face and neck belong together. Anatomically, the tissue layers of the face transition into the neck. It only makes sense while performing a deep plane face lift to address the neck as well. The most beautiful results are obtained when both is combined usually with some ancillary procedures of the face, to address all the aging processess - like the eyes, volume loss, upper lip ptosis, brow...

You appear to be a great candidate for a deep plane facelift and neck lift, especially given your concerns about nasolabial folds, midface sagging, and heaviness along the jawline. This technique lifts the deeper facial layers rather than just the skin, providing a more natural and long-lasting result.
I often combine this with fat grafting to restore volume in the cheeks and around the mouth, which helps smooth folds and balance the facial contour.
While your photos are helpful for an...